Bassity, Bruce A

Bassity, Bruce A is an individual health care provider with primary practice located at 1001 Knik-Goosebay Road , Wasilla AK 99654. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bassity, Bruce A can be contacted via phone (907) 631-7889.

Contact Information

Primary practice address
1001 Knik-Goosebay Road Wasilla AK 99654
Phone: (907) 631-7889
Fax: (907) 631-7612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 779 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 008720 New York

Profile Details

NPI number 1265599674
LBN Legal business name Bassity, Bruce A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265599674 NPPES
Alaska MEDICAID MDA0120
Alaska MEDICAID DD2004

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